"differentsialniy diagnoz zabolevaniy, soprovojdayushixsya sindromom ekzantemi"

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slayd 1 gbou vpo «rostovskiy gosudarstvenniy meditsinskiy universitet» minzdrava rossii kafedra detskix infektsionnix bolezney «differentsialniy diagnoz zabolevaniy, soprovojdayushixsya sindromom ekzantemi» * i.ekzantemnie b-ni (sip – vedushiy s-m) – kor, krasnuxa, skarlatina, vetryanaya ospa, ipg, infektsionnaya eritema, vnezapnaya ekzantema ii. b-ni s s-mom ekzantemi (sip – odin iz s-mov) – psevdotuberkulez, infektsionniy mononukleoz, bryushnoy tif, meningokokkovaya infektsiya, krimskaya gemorragicheskaya lixoradka, enterovirusnaya infektsiya, leptospiroz i dr. klassifikatsiya zab-y s ekzantemoy * 1. pyatno – rezultat rasshireniya sosudov, bledneet, ne vozvishaetsya melkotochechnaya sip― 1 mm rozeola ― 2-5 mm melkoe pyatno – 5-10 mm krupnoe pyatno – 11-20 mm eritema – bolee 20 mm 2. papula ― vozvishayushiysya tverdix el-t do 5 mm 3. gemorragiya ― krovoizliyanie v koju, ne bledneet, ne vozvishaetsya petexii ― 1 mm purpura ― 2-5 mm ekximozi ― bolee 5 mm 4. puzirek ― polostnoy el-t do 5 mm s seroznoy jidkostyu pervichnie elementi sipi * differentsialniy diagnoz …

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a lokalizatsiya – sgibatelnaya poverxnost konechnostey, bokovaya poverxnost tulovisha, skladki; s-mi filatova, pastia 4. poryadok visipaniya – odnomomentno 5. fon koji – giperemirovan 6. isxod – plastinchatoe shelushenie melkotochechnaya sip (s-m «gusinoy koji») «diagnoz skarlatini stavitsya s zakritimi glazami» vrachebnaya mudrost * s-m melkotochechnoy ekzantemi algoritm opisaniya sipi 1. srok poyavleniya – 1-2 d.b. 2. x-r sipi – melkotochechnaya (1 mm), pyatnistaya (bledneet pri nadavlivanii), vistupaet (s-m «gusinoy koji») 3. izlyublennaya lokalizatsiya – sgibatelnaya poverxnost konechnostey, bokovaya poverxnost tulovisha, skladki; s-mi filatova, pastia 4. poryadok visipaniya – odnomomentno 5. fon koji – giperemirovan 6. isxod – plastinchatoe shelushenie izlyublennaya lokalizatsiya – sgibatelnaya poverxnost konechnostey, bokovaya poverxnost tulovisha, skladki skarlatina * s-m melkotochechnoy ekzantemi algoritm opisaniya sipi 1. srok poyavleniya – 1-2 d.b. 2. x-r sipi – melkotochechnaya (1 mm), pyatnistaya (bledneet pri nadavlivanii), vistupaet (s-m «gusinoy koji») 3. izlyublennaya lokalizatsiya – sgibatelnaya poverxnost konechnostey, bokovaya poverxnost tulovisha, skladki; s-mi filatova, …

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x-r sipi – melkotochechnaya (1 mm), pyatnistaya (bledneet pri nadavlivanii), vistupaet (s-m «gusinoy koji») 3. izlyublennaya lokalizatsiya – sgibatelnaya poverxnost konechnostey, bokovaya poverxnost tulovisha, skladki; s-mi filatova, pastia 4. poryadok visipaniya – odnomomentno 5. fon koji – giperemirovan 6. isxod – plastinchatoe shelushenie izlyublennaya lokalizatsiya – bokovaya poverxnost tulovisha skarlatina * s-m melkotochechnoy ekzantemi algoritm opisaniya sipi 1. srok poyavleniya – 1-2 d.b. 2. x-r sipi – melkotochechnaya (1 mm), pyatnistaya (bledneet pri nadavlivanii), vistupaet (s-m «gusinoy koji») 3. izlyublennaya lokalizatsiya – sgibatelnaya poverxnost konechnostey, bokovaya poverxnost tulovisha, skladki; s-mi filatova, pastia 4. poryadok visipaniya – odnomomentno 5. fon koji – giperemirovan 6. isxod – plastinchatoe shelushenie izlyublennaya lokalizatsiya – skladki skarlatina * s-m melkotochechnoy ekzantemi algoritm opisaniya sipi 1. srok poyavleniya – 1-2 d.b. 2. x-r sipi – melkotochechnaya (1 mm), pyatnistaya (bledneet pri nadavlivanii), vistupaet (s-m «gusinoy koji») 3. izlyublennaya lokalizatsiya – sgibatelnaya poverxnost konechnostey, bokovaya poverxnost tulovisha, …

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hatoe shelushenie skarlatina * s-m melkotochechnoy ekzantemi algoritm opisaniya sipi 1. srok poyavleniya – 1-2 d.b. 2. x-r sipi – melkotochechnaya (1 mm), pyatnistaya (bledneet pri nadavlivanii), vistupaet (s-m «gusinoy koji») 3. izlyublennaya lokalizatsiya – sgibatelnaya poverxnost konechnostey, bokovaya poverxnost tulovisha, skladki; s-mi filatova, pastia 4. poryadok visipaniya – odnomomentno 5. fon koji – giperemirovan 6. isxod – plastinchatoe shelushenie giperemirovanniy fon koji mejdu elementami sipi («solnechniy ojog») skarlatina – ot angl. scarlet fever (purpurnaya lixoradka) skarlatina * s-m melkotochechnoy ekzantemi algoritm opisaniya sipi 1. srok poyavleniya – 1-2 d.b. 2. x-r sipi – melkotochechnaya (1 mm), pyatnistaya (bledneet pri nadavlivanii), vistupaet (s-m «gusinoy koji») 3. izlyublennaya lokalizatsiya – sgibatelnaya poverxnost konechnostey, bokovaya poverxnost tulovisha, skladki; s-mi filatova, pastia 4. poryadok visipaniya – odnomomentno 5. fon koji – giperemirovan 6. isxod – plastinchatoe shelushenie krupnoplastinchatoe shelushenie na ladoni skarlatina * s-m melkotochechnoy ekzantemi algoritm opisaniya sipi 1. srok poyavleniya – …

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lushenie melkoplastinchatoe shelushenie na kisti skarlatina * dopolnitelnie s-mi 1. obsheinfektsionniy s-m – o. nachalo, febrilnaya lixoradka, rvota, «mnimoe blagopoluchie» 2. s-m tonzillita – bol v gorle, tonzillit, yarkaya otgranichennaya giperemiya slizistoy, izmeneniya yazika (oblojen, s 3-5 dnya «malinoviy») 3. s-m gipersimpatikotonii – ↑ chss, ad, stoykiy beliy dermografizm skarlatina «mnimoe blagopoluchie» * dopolnitelnie s-mi 1. obsheinfektsionniy s-m – o. nachalo, febrilnaya lixoradka, rvota, «mnimoe blagopoluchie» 2. s-m tonzillita – bol v gorle, tonzillit, yarkaya otgranichennaya giperemiya slizistoy, izmeneniya yazika (oblojen, s 3-5 dnya «malinoviy») 3. s-m gipersimpatikotonii – ↑ chss, ad, stoykiy beliy dermografizm skarlatina «net skarlatini bez angini!» vrachebnaya mudrost tonzillit, yarkaya otgranichennaya giperemiya slizistoy rotoglotki – «pilayushiy zev», «landkartniy zev» * dopolnitelnie s-mi 1. obsheinfektsionniy s-m – o. nachalo, febrilnaya lixoradka, rvota, «mnimoe blagopoluchie» 2. s-m tonzillita – bol v gorle, tonzillit, yarkaya otgranichennaya giperemiya slizistoy, izmeneniya yazika (oblojen, s 3-5 dnya «malinoviy») 3. s-m gipersimpatikotonii – …

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slayd 1 gbou vpo «rostovskiy gosudarstvenniy meditsinskiy universitet» minzdrava rossii kafedra detskix infektsionnix bolezney «differentsialniy diagnoz zabolevaniy, soprovojdayushixsya sindromom ekzantemi» * i.ekzantemnie b-ni (sip – vedushiy s-m) – kor, krasnuxa, skarlatina, vetryanaya ospa, ipg, infektsionnaya eritema, vnezapnaya ekzantema ii. b-ni s s-mom ekzantemi (sip – odin iz s-mov) – psevdotuberkulez, infektsionniy mononukleoz, bryushnoy tif, meningokokkovaya infektsiya, krimskaya gemorragicheskaya lixoradka, enterovirusnaya infektsiya, leptospiroz i dr. klassifikatsiya zab-y s ekzantemoy * 1. pyatno – rezultat rasshireniya sosudov, bledneet, ne vozvishaetsya melkotochechnaya sip― 1 mm rozeola ― 2-5 mm melkoe pyatno – 5-10 mm krupnoe pyatno – 11-20 mm eritema – bolee 20 mm 2. papu...

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